Ashley Erin Boumgarden
NPI 1912751975ActiveIndividual· Nurse Practitioner, Family· Oak Park, IL
Nurse Practitioner, Family with Pcc Community Wellness Center, practicing in Oak Park, Illinois. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1912751975 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 16, 2024 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209030519 | IL |
| Registered Nurse | 163W00000X | 041462308 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pcc Community Wellness CenterChicago, IL · 94 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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